HESI RN Case Study: Burns Questions & Answers.
Which action is included when a Level I disaster is declared? - CORRECT ANSWER All local hospitals prepare to receive casualties.
Which action should the nurse implement to help these family members cope with this tragedy? - CORRECT ANSWER Desi...
HESI RN Case Study: Burns Questions &
Answers.
Which action is included when a Level I disaster is declared? - CORRECT ANSWER All local hospitals prepare to receive casualties.
Which action should the nurse implement to help these family members cope with this tragedy? - CORRECT ANSWER Designate specific family areas that are staffed with counselors.
EMS personnel triage clients, with multiple casualties noted. Which action should the triage nurse implement first? - CORRECT ANSWER Place a disaster tag securely on each victim.
Triage determines in what order a client is seen by a healthcare provider (HCP). Which of the following clients would the nurse identify with a red tag? - CORRECT ANSWER -A client whose vital signs include respirations at 22 breaths/min , pulse at 120 beats/min, and blood pressure at 85/52 mmHg.
-A client with a pulsating femur wound.
-A client with full thickness burns over 50% of the body.
Which triage category should the nurse assign to James? - CORRECT ANSWER Priority 1, Color Red.
The client has many physical, emotional, and psychosocial needs. Which intervention is most important for the nurse to implement upon admission? - CORRECT ANSWER Establish and maintain an open airway.
The nurse should document which percentage of body surface? - CORRECT ANSWER 45%
James grimaces in pain as the nurse assesses James' red and blistered wounds that are affecting his epidermis and dermis. Based on this assessment, which finding best describes the James' burns? - CORRECT ANSWER Partial thickness or second degree burns.
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